Table 1

Risk-based screening for type 2 diabetes or prediabetes in asymptomatic children and adolescents* in a clinical setting

Testing should be considered in youth* who are overweight (≥85%) or obese (≥95%) A and who have one or more additional risk factors based on the strength of their association with diabetes:
 • Maternal history of diabetes or GDM during the child's gestation A
 • Family history of type 2 diabetes in first- or second-degree relative A
 • Race/ethnicity (Native American, African American, Latino, Asian American, Pacific Islander) A
 • Signs of insulin resistance or conditions associated with insulin resistance (acanthosis nigricans, hypertension, dyslipidemia, polycystic ovary syndrome, or small-for-gestational-age birth weight) B
  • * After the onset of puberty or after 10 years of age, whichever occurs earlier.